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This is VAERS ID 275050

Case Details

VAERS ID: 275050 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: Arizona  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-03-14
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / -
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / -

Administered by: Other       Purchased by: Other
Symptoms: Accidental exposure, Wrong drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0702USA03477

Write-up: Information has been received from a health professional concerning a patient who was vaccinated with a dose of Zostavax that was reconstituted with Gardasil. No symptoms were noted. The office manager reported it was human error. The vaccine was administered by a medical assistant who was working in the office as a temp and was unfamiliar with the office and the vaccine. There was no product quality complaint involved. Additional information has been requested.


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